MICHELLE LEE VAN EWYK APRN NPI 1013491059

NPI Information

NPI: 1013491059
Provider Name: MICHELLE LEE VAN EWYK, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
473 W ARMY TRAIL RD STE 103
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 529-6969
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Michelle Lee Van Ewyk, APRN is a pediatrics nurse practitioner in Bloomingdale, IL. Michelle Lee Van Ewyk, APRN NPI is 1013491059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

473 W ARMY TRAIL RD STE 103
BLOOMINGDALE, IL
ZIP 60108-674
Phone: (630) 529-6969
Fax: (630) 529-5993

The enumeration date for this NPI number is 9/15/2018 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041.412825	ILLINOIS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	209.018061	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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